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B-19-943 - 0007 BEACON STREET - Building Permit
-7 16& The Commonwealth of Massachusetts " Board of Building Regulations and Standards CITY OF Ulf Massachusetts State Building Code,780 CMR SALEM • Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Secton,For Official Use,Only M r Building Permit Number Date Applied 4 Building Ofcial(Pent Name) € . , - Signature , Date £l SECTION I:'SITE-INFORMATION; 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 7 Beacon Street, Salem; MA 01970 1.l a Is this an accepted street?yes x no Map Number ' ' " Parcel Number` 1.3 Zoning;Information: 1.4 Property Dimensions: Zoning District , Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yardi Rear Yard ' Required Provided Required` Provided Required ProvidW y 1.6 Water Supply: G.L c.40,§54 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone- Outside Flood Zone? F' Public❑ Private❑ — Check if yes❑ Municipal[3 On site disposal sys ❑ 4 . . _ W iSECTION�2: PROPERTY£OWNERSHIl'' k 2.1 Owner i of Record: ' Giglio Erik, Salem MA O1970,,,. Name(Print) t.. •• . ry t, ,, ,; City,State,ZIP erik.giglio@gmail.eom 7 Beacon Street, No.and Street lep ones- t. - Email Address. SECTION 3:DESCRIPTION%OF PROPOSED WORW(check all;that apply) New Construction❑ 'Existing Building❑ ` Owner-Occupied ❑' Repairs(§) Alteration(s) N Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify- Brief Description of Proposed World: insulation work as part of the Mass save program SECT-ION 4 ESTIMATED CONSTRUCTION,COSTS.; Estimated Costs:,A Item Official Use Only Labor and Materials 1.Building ' $ " 1 Building Permit F.ee $_ Indicate how fees determined: ❑Standard Cty/Town Application"Fee= 2.Electrical $ 3._ ❑Total Project,Cost (Iterm.6)x.multiplier .x n . . 3.Plumbing $ 2Other 4.Mechanical (HVAC) $ List: 5.Mechanical. (Fire 5000 $ Total All Fees $ Suppression) .: + 4 Check No: Check Amount :.Cash Amount 6.Total Project Cost:` $ ❑Paid in Full ❑.QutstandingBalance Due; t L,tg; J f N S NSL, $7 per$1000; minimum $25 =-SECTION 5 CONSTRUCTION SERVICES, 5.1 Construction Supervisor License(CSL)•t , CST 096385 ' f 10/8/2018 Romain Strecker, License Number' Expiration Date Name of CSL Holder , , , 10 Churchill Place List CSL Type(see below) U No.and Street : Type" s Description - 'A U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 781=309-7540 x 3 ops@neeeco.com - I Insulation Telephone Email address ' D Demolition 5.2 Registered Home Improvement Contractor(HIC) 185222 5/11/2020 Neeeco LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name ' 10 Churchill Place _ ops@neeeco.com No.and Street Email address Lynn, MA 01902 781-309-7540 x 3 City/Town,State,ZIP Telephone ti SECTION 6 WORKERS'.COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c..152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... 12 No...........❑ -K'' .SECTION 7arOWNER AUTHORIZATION TO BE_COMPLETED WHEN z . OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING'PERMIT I,as Owner of the subject property,hereby authorize Neeeco, LLC to act on my behalf,in all matters relative to.work authorized by this building permit application. (signed contract attached) r 8/21/19 Print Owner's Name(Electronic Signature).. i Date a SECTION 7b:HOWNER1 OR.AUTHORIZED AGENT,DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this applicationis true and accurate to the best of my knowledge and understanding. t- Print Owner's or Authorized Agent's Name(Electronic Signature) Romai11 Strecker Date 8/21/1 NOTES..` 1. An Owner who obtains a building permit to do his/her own work,or an owner who hiresan unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty,fund under M.G.L.c. 142A Other important information on the HIC Program can be found at www.mass. o�Information on the Construction Supervisor License can be found at www.mass.goy/dps 2. When substantial work is'planned,provide the information below: . Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch), Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms ' Number of bathrooms Number of halfibaths Type of heating system ° ' ! Number of decks/porches „ Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" i ,! CITY OP SMINI, TYLA SSACHUSETTS BuUMLNG DEP�RTaLvT ` 13O W ASHINGTON STREET,r FLOOR .\ TEL (978)745-9595 FA..c(978) 740-9846 KI.NiBERL.EY I)RISCOLL MAYOR THomm ST.Pinn DIRECTOR OF PUBLIC PROPERTY/BUILDING CONL\aSSIONER Construction Debris Disposal Affidavit (required.for all demolition and renovation work) In accordance with the•sixth edition of the State Building Code, 780 CMR section 111.5 Debris,and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: Neeeco truck (name of hauler) The debris will be disposed of in : Republic dumpster at Neeeco warehouse (name of facility) 113 Fayette St, Lynn MA 01902 (address of facility) signature of permit applicant 8/21/19 date debrisaff.doc Office of Consumer>Affairs and Business Regulation 1000 Wag ington`Street- Suite 710 Boston, :Massachusetts 02116 Horne Improvement`Contractor Registration Type Supplement:Card' Regisfrations 185222 NEEECO;.LLC Expiration: ON!1%2020` 10 CHURCHILL PL. LYNNj.MA 01902 Update Address and Return Card. scga ^• 201s,owlz /fin`tiix�ir,nr-�,a,ttc tf r` - lu{�ck'ir/% Office of Consumer'Affairs&Business Regulation HOME IMPROVEM ENT. Registration valid for individual use only TYPE--Sup0lem% ..Card I I I before the expiration date. If found return to Registration "EX12iration Office of Consumer Affairs`and Business'Regulation' ti35222 05/11/2020 1000 Washington Street.-Suite 710 NEEECO.LL6 Boston,MA 02118 ROMAIN STRECKER 10 CHURCHILLPL LYNN;:MA 61962. Upt.ealid ithou t,'signature- Undersecretary t Commonwealth of Massachusetts Division of Professional Licensurg f' Board of Building Regulations and Standards Constr tm fi% iSpervisor r CS-006385-- ` EaS free •TOl0812020 u , 4 ROMAIN D STRECKER LYNW MA 01902tt '� , C4. arimissioner ' qq f„ i ' b DATE(MMMD/YYYY) ACORL�® _ CERTIFICATE OF LIABILITY INSURANCE, F_ 04/02/2019 T�f IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS t CERTIFICATE DOES NO'T AFFIRMATIVELY OR NEGATIVELYAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES - I BELOW: THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT,BETWEEN 714E ISSUING INSURER($),AUTHORIZED, REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. .,•.t : , . t IMPORTANT: If the certificate holder,is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,pertain policies may require an endorsement. A statement ori, this certiflcate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER - CONTA T Commercial Lines' NAME: Ambrose Insurance Agency,Inc. PHONE FAx t A/C No Ext: A/C No): 963 Eastern Ave E-MAIL ADDRESS: d.. INSURER($)AFFORDING COVERAGE NAIC If Malden MA 02148 'INSURERA: Lloyds I INSURED INSURER B: Merchants Mutual Insurance Company 23329 , Neeeco,LLC INSURER c: Falls Lake National Ins Co - 10 Churchill Place - - INSURER D: INSURER E: Lynn MA 01902 INSURER F: COVERAGES CERTIFICATE NUMBER: 2018 as, r REVISION NUMBER:" " THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY HAVE BEEN REDUCED BY.PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER MMIDI� EFF MMM/D POLICYEXP LTR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 1,000.000 ` CLAIMS-MADE FX-1 OCCUR PREMISES Ea occurrence $ 100,000 i MED EXP(Any one person) $ 10,000 A Y Y ENC000227602 04/04/2019 04/04/2020 PERSONAL&ADV INJURY $ 1,000,000 I GEN'L AGGREGATE LIMIT F,IPPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO 2,000,000 I JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 — Ea accident) ANYAUTO BODILY INJURY(Per person) $ f B OWNED SCHEDULED Y Y MCA0000239 04/06/2019 04/06/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED I X 1 NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY . AUTOS ONLY Per accident i X UMBRELLA LIAB X OCCUR EACH OCCURRENCE - $ ,1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y ENX000012902 04/04/2019 04/04/2020 AGGREGATE $ 1,000,000 I DED I X1 RETENTION10,000 $$ � WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATUTE .. ERH ANY PROPRIETOR/PARTNER/EXEmt CUTNE Y IN E.L.EACH ACCIDENT, $ 1,000,000 C OFFICEREMBEREXCLUDED? N/A Y WC500-0072762-2018A 05/03/2018 05/03/2019. 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ - Each Occurence $1,000,000 JA Professional Liability ENC000227602 04/04/2019 04/04/2020 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Abode Energy Management,LLC and National Grid USA is included as Additional Insured on a primary and non contributory basis. No reduction, cancellation or expiration of the policy'shall be effective until thirty(30)days from the date written notice thereof is actually received by the insured named -, hereunder.Upon recelpf of any notice of reduction,.cancellation or expiration,`HPC shall immediately notify Abode and Utility.HPC and its insurers shall waive all rights of recovery again Abode,the Utility,and any of their affiliates for any loss or damage coveraged by the policies.PL EAS E SEE THE WORKERS COMP ON THE FOLLOWING PAGE ! CERTIFICATE HOLDER" : CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE " •?t3'',T r..3 „ri► ' t 1, ,w', ?. THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN,t ' Abode Energy Managem LL ent C National Grid USA - ACCORDANCE WITH THE POLICY PROVISIONS. ) =40 Sylvan lid., + AUTHORIZED REPRESENTATIVE + F + Waltham „ MA 02351 ,''it,01,., .(:-tof Y 1 ti LA ,.:4;, •r `.tti ©1988-2015 ACORD CORPORATION. All rights reserved.' • ACORD 25(2016103). rl.The ACORD name and logo are registered marks of ACORD , ) 4°•� r ® DATE(MMIDDIYI�YY) ACORV CERTIFICATE OF LIABILITY INSURANCE i `� 5/16/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPOWTHE CERTIFICATE HOLDER.THlq, CERTIFICATE DOES NOT AFFIRMATIVELY OR'NEGATIVELY•AMEND, EXTEND+OR ALTER THE COVERAGE AFFORDED BY THE POLICIES'' I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE'A%CONTRACT BETWEEN THE,ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. .4 r• °+ IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL.INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.' A statement on . this certificate does not confer.rights to the certificate holdei in lieu of such endorsement(s). ACT PRODUCER AMBROSE INSURANCE AGENCY INC NAAME: 963 EASTERN AVE MALDEN, MA 02148 E MAIL A/C. 0 No i # ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER.A.:Liberty Mutual Fire Insurance 23035 ' INSURED NEEECO LLC t 4 j INSURERB: 10 CHURCHILL PLACE INSURERC: LYN N MA 01902 INSURER D: ° INSURER E: v.r INSURER F:- COVERAGES - CERTIFICATE.NUMBER: 48698650 t, REVISION NUMBER: THIS IS TO CERTIFY,THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF,ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE'INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT-TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLIC.POLICY NUMBER MMIDDY EFF POLICY MMIDD EXP LIMITS i LTR t COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ , DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JECOT- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY AUTOS SCHEDULED BODILY INJURY(Per accident) $ " HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ ' RDED XCESS LIAB _ HCLAIMS-MADE AGGREGATE $ RETENTION$ $ ' OT - A WORKERS COMPENSATION WC2 31 S 621639 019 5/3/2019 5/3/2020 STATUTE I I ERH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EX E.L.EACH ACCIDENT $1000000 ECUTIVE r ,, , OFFICER/MEMBEREXCLUDED? ❑Y NIA (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE $1000000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 OOOOOO DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage.• , ' • i'r •��,i � I s •CERTIFICATE HOLDER r CANCELLATION + ° ADOBE+ENERGY MANAGEMENT LLC I ., SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NATIONAL GRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 SYLVAN RD WALTHAM MA 02351 T AUTHORIZED REPRESENTATIVE Jon Smith �w ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 48698650 1 1-621639 1 19-20 WC 1 n0254981 1 5/16/2019 6:35:36 AM (EDT) I Page 1 of 1 The Commonwealth of Massachusetts Property A.ddress Department of IndusttialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Nleeeco LLC Address: 10'Churchill PI City/State/Zip:Lynn MA 01902 Phone#:781-309-7540 x3 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 35 employees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.�I am a homeowner doingall work myself 9. ❑Demolition y [No workers'comp.insurance required.]r 10❑ Building addition 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole - I I.❑'Electrical repairs or additions proprietors with no employees. m 12.E]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14.0✓ Other Insulation Work 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),Turd we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.., I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Liberty MutuaI- Fire Insurance Policy#or Self-ins.Lic.#: WC2-31 S-621639 Expiration Date: 05/03/2020 7 Beacon Street, Salem, MA 01970 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under;te ains and penalties of perjury that the information provided above is true and correct 8/21/19 Signature: - Date: Phone#:781-303-7540 x 3 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 4 - - Permit Authorization :,mats .save. For Site ID:3844907 1,'Qstomer:.Erik Giglio Cr. • r r ' v 6 - . ;,.owner of the property located at: (Own Name,.printed)' r. 7 Beaconi St Salem, MA 61970 (Property street Address) Web authorize the Mass-Save---Home Energy Services Program assigned Participating Contractor listed 1 F below to act;on my`.behalf and,obtain. a build'in g permit to perform,insulation and/or weatherization work on my property, Owner`s'.Signature. Date: - t G 1.�► t -04 0 Ae4o'4: 6 4.ego a+�—a'Mta t+ t4A.-4� a- gut,d64 604w 1i9V.4 6*4,6+0'r,r: a s ,` FOR.OFFICE USE;ONLY • . 1 . 1 We have assigned the followingMass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date ,Name: Neeeco• Phone: 781-309-7540 Email info@neeeco,com Fo.- FFiceUseOnly` Rev.102015 IV ; Page`1 of 2: IWA ;j ne mass save: This agreement is made by and among PARTNER 4. D SCRIP"LO-!OF:WORK i0 BE PERFORMED NEECO,LLC will pe torm or cause to be performed(he following work on the ruslomers address abo `in a professional manner.AMin` cordance vritti fhe"terms of Phis' Contract,mcludrng the_attached recommentlalons/�rork:order describing lhe.vmrk m delal(the"WorK)wfirchi are mcorporaled hereinby reference Customer Name:;Erik.Giglio :Email:Not provided Phone:781-73875699 Premise Address:7 Beacon St,Salem,MA,01970 'Mailing Address:'7 Beacon St,Salem,MA 019710 Project ID:.3874951 Date:Aug.16,2019` Job Description �4Vf�eaS e7D sl fl tlorl �-4 ���,%'•�``�» "�'�,z, .�"�` �,«'�.�' �' k£" ��. `��� � �� p � Quantity . Unit �TofalGos# C;ustomer�Gast , -► Rim Joist 2"Thermal Barrier.Polyiso 159, SF $760:02' $190.00' Air Sealing at Estimated 62.5 CFM50`Per Hour 2' hr $185.16 $,O,OQ; Door Sweep (with AS`hrs) 3. each: $75.93 $0.00 -Exterior Door Weather Stripping (with AS hrs) 2 each $90.21 $0:00 Door-2'Thermal Barrier Polyiso 1 each $90.44 $22..61 sVaporBarrier-6 mil Polyethylene (with AS�hrs) 368 SF $360.64 $0.00' Crawlspace.Ceiling-Z"Thermal Barrier Polyiso 400 SF` $1 9.12.00 $478.00 Walls.-Interior 4" Dense Pack,Cellulose 404 SF $14026.16 $256.54 _.. Crawlspace Ceiling-W Fiberglass Batting: 32` SF $83.84 $20.96 2 PAYM84-L Customer agrees to pay IE-EECQ for the work as follows:.: rng reUected below maybe subject to adiuslmenls in program prscing do erings en is guaranleed for60 days fro ' dale i;coralraol is prlhted: Payment#1{Deposit):$ A 3035 deposil:byeheck)s due upon contract signature.Deposil'i" not 10 exceed of the lotalco4wtcast. Additional PagmenYsiand Final lnvolee-%.. 'lO ` Additional payments forihe Work shall be due upon completion of the'Work wrile-acheck V'NEEECTand hand f.lo the crer chief.. . Gusto Date Customer,Printed_;Name NE lure: Date ZRLppre"ptove.13dritedNar4i .; NEEECO.LLC o lit Churchill Place Lynn,MA`01902 b,781.309 7540 irifo@neeeco.com a'neeeco com Pa4e:1 of Z Ah � t ec;u i mass save, This agreement>is made-by an&among PARTNER 1. DESCRIPTION OF WORK'TO BEPERFOMED NEEECO,LLO will petbrm or'cause fo be performedIhe following rrorti on the customers address abore,�in;a professional manner and in accordance:with the't&ms,of this, Canlracl,including the atlached reeommendahonOwnrlc oriler'descn6ing the work'-in detaiI(Ihe'Woril)Much are'ineori)ordledhefein:byretererice.. Customer Name:Erik Giglio Email:Not provided Phone:.781-738-5699 P.remise Address:7 Beacon St Salem,MA 01970 Mailing Address:7 Beacon St,Salem MA,01;970 ProjectlD:;3874951 Date Aug.1.6 2019 Project Total $41584.49 Weatherization incentive ($2904.35) Air sealing incentive ($711.94) Total`Program Incentive 43,616.209 Customer Total $968.11 2. FAYNIENT:Custome(:agrees"to:pay NEEECO for ihe"work as follows:. 9 y I 4H1 �uPro9 ' 9 offerings o-M. � t� dale the contractis punted. r�cm reflected below may be sub ecl to ad.'f( uslm n ram rcm and and is aranteed for60.tl fro q Payment IJDeposit) $ « �� j G : A a9%deposit by check is due upon contract signature,Deposit i no tT(Axceodl a of the total conk acl cost.; • Addttional`Paymenti€and Flnallmblce$ . Additional payments for the W shall be dueupon co leGo❑of the Work,Pieasewrile.a check W'NEEEC(T and hand,il to the crewchief. .. . , �� r 1 ' D Custom Date Custo r Printed Name I NEEECORepresentafiveSlgnature: Date; Representative;Print ame NEEECOi LLC.,10 Churchill Place'-Lynn`MA 01"902 761=169-7540-J nfo(c neee&xom-neeeco.com